Provider Demographics
NPI:1295949162
Name:FRENCH EYE CARE CENTER, PLLC
Entity type:Organization
Organization Name:FRENCH EYE CARE CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:304-586-0970
Mailing Address - Street 1:103 ROOSEVELT BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:ELEANOR
Mailing Address - State:WV
Mailing Address - Zip Code:25070-4000
Mailing Address - Country:US
Mailing Address - Phone:304-586-0970
Mailing Address - Fax:304-586-3744
Practice Address - Street 1:103 ROOSEVELT BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:ELEANOR
Practice Address - State:WV
Practice Address - Zip Code:25070-4000
Practice Address - Country:US
Practice Address - Phone:304-586-0970
Practice Address - Fax:304-586-3744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV956-OD152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV9200009001Medicaid
WV9200009001Medicaid